DR. TOM M KAO D.C., APN
NPI 1821286394
Nurse Practitioner in Fulton, IL
About Dr. Tom M Kao D.c., Apn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TOM M KAO D.C., APN (NPI 1821286394) is an individual nurse practitioner in Fulton, Illinois, licensed in Illinois (209031480) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Tom M Kao D.c., Apn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Tom Kao reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Clinton, IA 52732
- Reassigned Medicare billing, Iowa enrollment
- 7 clinicians in this Medicare group
Chicago, IL 60657
- Reassigned Medicare billing, Illinois enrollment
- 34 clinicians in this Medicare group
Chicago, IL 60657
- Reassigned Medicare billing, Illinois enrollment
- 129 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61252 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tom Kao's NPI number?
The NPI number for Tom Kao is 1821286394. It was assigned to this individual provider in the NPPES registry on October 10, 2007. The provider is also known as Dr. Tom M Kao-Chen D.C., Apn.
Where is Tom Kao located?
Tom Kao practices at 1006 4th St, Fulton, IL 61252. The listed phone number is (815) 589-4616.
What is Tom Kao's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Tom Kao enrolled in Medicare?
Yes. Tom Kao is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Tom Kao's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tom Kao reassigns Medicare benefits to 3 organizations: Womens Health Services Of Eastern Iowa Inc (Clinton, IA), Midwest Post Acute Care Aco PLLC (Chicago, IL) and Midwest Post Acute Care PLLC (Chicago, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tom Kao's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tom Kao accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Insurance Company and 1 other insurer list Tom Kao as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Tom Kao was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Tom M Kao, D.C., APN · NPI 1821286394
Nurse Practitioner physician in Fulton, Illinois. Individual provider, active in the CMS NPPES registry since October 10, 2007.
## Identity
- **NPI:** 1821286394 (Entity type: Individual)
- **Enumerated:** October 10, 2007
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 209031480 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1006 4TH ST, Fulton, IL 61252-1778
- **Phone:** (815) 589-4616
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Womens Health Services Of Eastern Iowa Inc (NPI 1720056492, Clinton, IA); Midwest Post Acute Care Aco PLLC (NPI 1457926537, Chicago, IL); Midwest Post Acute Care PLLC (NPI 1083012074, Chicago, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** April 29, 2025
- **Other identifiers:** Medicaid 1119974 (IA); Medicaid 38007086 (IL); Other 350043559 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1821286394) · Data from the CMS NPPES public registry.